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theories of aging
wear/ tear theory not viable
primary aging
genetically influenced/ unavoidable
secondary aging
result of choices made/ avoidable
cellular theory
cells age, reach senescence/ no longer divide, trouble responding to illness/stress
Hayflick limit
limit to number of times a cell can divide before senescence
free radical theory
gradually accumulate cellular damage, DNA mutation
programmed cell death theory
follows logical timetable, apoptosis/ age related disruptions to PCD w/ inflammation immunity/normal heart aging
no, rare for before 60 years, small percentage for 65-75 years, 50% for 85+ years
do most adults develop dementia?
genetics; men more likely to engage in risky behaviors, abuse drugs/alcohol, less vigilante about health
why do women outlive men?
yes, for some specific types like precise source of info
are memory problems inevitable?
no
do most adults need to live in a nursing home?
dementia
8-10% 65+ years; 30-50% 85+ years
Parkinson’s
may cause neurocognitive disorder; sx: anxiety/ depression/ hallucinations/ personality chnages
vascular disease
cerebrovascular/ stroke; risk factors: HTN, smoking, obesity
traumatic brain injury
loss of consciousness amnesia, difficulty concentrating/ slow processing
substances/ medication induced
heavy use of drugs/ alcohol, problems concentrating/ motor problems
prion disease
CJD; corneal transplantation, injection, physical contact w/ contaminated matter
HIV infection
25%; HAART helps w/ HIV replication/ decreases rates of neurocognitive disease
Alzheimer’s
60%
Stage 1
progressive memory decline, trouble w/ activities, altered mood
Stage 2
compromised independence, forgets family members’s names, gait problems
Stage 3
unable to engage in daily acivities
biology of Alzheimer’s
genetics/ defieciency of Ach, amyloid plaques, neurofibrillary tangles
late on-set Alzheimer’s
mid-60s; most common; may involve APOE gene (increased risk)
early onset Alzheimer’s
30-60s; rare; definite genetic basis
current research for Alzehimer’s
genetics, role of inflammation/CVD/stroke/HTN; plaques/ tangles w/ CVD trigger; older African/ Latino Americans at greater risk
diagnosing Alzheimer’s
fMRI, psychologist/psychiatrist screening mental health, PCP screen physical health, social worker screen for memory function
disengagement theory
older adults should withdraw from society to prepare for death; increases decline/ heavily criticized
activity theory
activity increases satisfaction; increases physical/ mental health
selective optimization w/ compensation theory
select what they do, optimize/maintain what you practice/ learn to compemsate as one ages
successful aging
social connection/ meaningful activity
stages of grief
denial, anger, bargaining, depression, acceptance
grief
psychological reaction to loss/ internal
loss
bahaviors undertaken while grieving/ external
death
cessation of bodily processes, stopped heartbeat/breathing
brain death
complete cessation of activity/ brainstem
euthanasia
painless killing/ permitting death to someone who’s severely injured/sick
hospice
very comprehensive program for terminally ill patients
palliative care
comfort care